Organization
ABC PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRISTAL KIRBY MD (OWNER)
(318) 639-9422
Entity
Organization
Contact information
Practice address
164 COUNTRY CLUB CIRCLE STE. B, MINDEN, LA 71055
(318) 639-9422
(318) 639-9423
Mailing address
164 COUNTRY CLUB CIRCLE, MINDEN, LA 71055
(318) 639-9422
(318) 639-9423
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
204591
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2155717
—
LA
Enumeration date
05/09/2016
Last updated
02/28/2022
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